Ingabe ubuchopho bakho buzizwa sengathi abusebenzi kahle? Kungaba yi-Metabolic Encephalopathy!

Ingabe ngezinye izikhathi uzizwa udidekile ngendlela engachazeki, ukulahlekelwa yinkumbulo, kanye noshintsho ekuziphatheni, njengokungathi awuseyena umuntu owawunguye ngaphambili? Noma ingabe into efana nale yenzekile elungwini lomndeni noma kumngane? Esinye sezizathu eziyinhloko ezenza lezi zinto zenzeke ukuthi esinye isimo sezokwelapha emzimbeni wethu sithinta ukusebenza okuvamile kobuchopho. Namuhla sizokhuluma ngesimo esinjalo, okungukuthi `(Metabolic Encephalopathy)` . Ungesabi, sizokhuluma ngalokhu kalula, ngendlela ongayiqonda.

Kuyini `(I-Metabolic Encephalopathy)`? Kalula nje...

Kalula nje, `(Metabolic Encephalopathy)` kuyisifo sobuchopho esibangelwa yisimo sezokwelapha esingaphansi komzimba wakho. Kunezimbangela eziningana ezingaba khona zalokhu, kodwa eziningi zalezi zimbangela zithinta kakhulu i-metabolism yakho. Cabanga ngakho, umzimba wethu ufana nomshini omkhulu. Lo mshini udinga amandla ukuze usebenze. Lawo mandla enziwa ngezinto esizidlayo nesiziphuzayo. Sibiza `(Metabolism)` ngokuthi inqubo yamakhemikhali eguqula lezi zinto zibe amandla.

Ngakho-ke, uma ukusebenza kobuchopho kuphazamiseka ngale ndlela, kungaba nomthelela omkhulu esimweni sakho sengqondo, ekucabangeni, kanye nasekukhumbuleni. Kwezinye izimo ezinzima, ungalahlekelwa ngisho nokuqwasha (coma) .

Lokhu kubaluleke kakhulu, ngoba zonke lezi zimo ze-`(Metabolic Encephalopathy)` zidinga ukunakekelwa kwezokwelapha . Uma zingelashwa, lokhu kungaba yingozi empilweni, noma kubangele ngisho nokulimala kobuchopho unomphela . Ngakho-ke, kubaluleke kakhulu ukuqaphela lokhu.

Yiziphi izinhlobo eziyinhloko ze-`(Metabolic Encephalopathy)`?

Singabona izinhlobo ezimbili eziyinhloko zalokhu `(Metabolic Encephalopathy)`:

1. I-Acute Metabolic Encephalopathy: Lokhu kuvame ukwenzeka lapho umzimba wakho ungatholi amavithamini anele, umoya-mpilo, noma i-glucose (ushukela). Cabanga ngakho njengenjini yemoto engasebenzi lapho iphelelwa uwoyela.

2. I-Toxic Metabolic Encephalopathy: Lokhu kubangelwa ukungasebenzi kahle kwezitho zomzimba, njengezinso noma isibindi, noma ukwehluleka kwezitho zomzimba. Lokhu kusho ukuthi izinto ezinobuthi ziyaqongelela ebuchosheni ngoba imfucuza yomzimba ayisuswa kahle.

Sivame kangakanani lesi simo?

Lesi simo, esibizwa ngokuthi "i-Metabolic Encephalopathy," sivame kakhulu kubantu "abagula kakhulu" ngenxa yesimo sempilo esibucayi esingaphansi. Lokhu kusho ukuthi umuntu osevele ehlushwa esinye isifo esibucayi kungenzeka kakhulu ukuthi abe nalesi simo.

Ziyini izimpawu zalokhu? Sizizwa kanjani?

Izimpawu zokuqala ozothola yilezi:Umsebenzi wokuqonda uhlobene nekhono lokucabanga . Yilezi:

• Ukudideka nokudideka: Ukuzizwa sengathi awukhumbuli ukuthi ukuphi, ukuthi isikhathi sini, ukuthi ungubani, noma ukuthi ubani oseduze kwakho. Ungase uzizwe sengathi ikhanda lakho lingenalutho ngokuzumayo.
• Ukulahlekelwa yinkumbulo: Ungase ukhohlwe ngisho nezenzakalo zakamuva. Ungase ungakhumbuli lokho owakwenza ekuseni kusihlwa.
• Ukushintsha kobuntu: Isibonelo, umuntu owayezolile kakhulu ngaphambili angase aqale ukuthukuthela ngaso sonke isikhathi, noma angase akhathazeke kakhulu. Abanye abantu bangase bathule kakhulu.

Ngaphezu kwalezi zimpawu eziyisisekelo, kungase kube nezinye izimpawu, njenge:

• Isicanucanu nokuhlanza
• Ukukhathala Nokungalali
• Izimo zempilo yengqondo ezifana nokucindezeleka
• Ukuhlanya: Ukulahlekelwa ingqondo ngokuzumayo, nomuzwa wokudideka okuphelele kanye nokulahlekelwa incazelo endaweni okuyo.
• Ukuphupha izinto ezingekho: Okuhlangenwe nakho kokubona, ukuzwa, noma ukuzizwa izinto ezingekho ngempela.
• Ukuthuthumela
• Izimpawu zesifo sokuwa (ukuquleka)
• Ubunzima bokuphefumula
• Ukulahlekelwa ukwazi noma i-coma

Ngezinye izikhathi lezi zimpawu zingavela ngokuzumayo, ngokuzumayo . Kodwa kwabanye abantu, lezi zimpawu zikhula kancane kancane . Kodwa-ke, uma wena noma othile omaziyo eba nanoma yiziphi zalezi zimpawu, khumbula ukubona udokotela ngokushesha .

Kungani lokhu kwenzeka? Yiziphi izimbangela ze-`(Metabolic Encephalopathy)`?

Imbangela eyinhloko ye-`(Metabolic Encephalopathy)` yisimo sezokwelapha esingaphansi esithinta inqubo yakho ye-`(Metabolism)` . Njengoba sesishilo kakade, i-metabolism yinqubo yamakhemikhali eguqula izinto esizidlayo nesiziphuzayo zibe amandla. Lawa mandla abalulekile ukuze ubuchopho bethu busebenze kahle. Ngenxa yesimo sezokwelapha esingaphansi, ibhalansi yamakhemikhali egazini lakho ingaphazamiseka. Ngenxa yalokho, ubuchopho abutholi izakhamzimba nomoya-mpilo obuwudingayo, okuholela ezimpawini ze-`(Metabolic Encephalopathy)`.

Ezinye zezimo zezokwelapha ezivame ukubangela lokhu yilezi:

• Isifo Sikashukela: Lokhu kusho ukuthi izinga likashukela egazini liphezulu kakhulu (i-Hyperglycemia) noma liphansi kakhulu (i-Hypoglycemia) ngaphandle kokulawulwa.
• Ukwehluleka kwenhliziyo
• Ukwehluleka kwezinso
• Isifo sesibindi noma ukwehluleka kwesibindi
• Ukungondleki kahle (ukuntuleka kwezakhamzimba ezidingwa ngumzimba)
• I-Pancreatitis
• I-Sepsis (ukutheleleka okukhulu okusakazeka emzimbeni wonke)
• I-Vasculitis (ukuvuvukala kwemithambo yegazi)

Futhi, i-Metabolic Encephalopathy ingabangelwa ukugwinya izinto ezithile ezinobuthi . Isibonelo:

• Ukusetshenziswa ngokweqile kotshwala
• Ubuthi bensimbi enamandla obubangelwa ukugwinya izinsimbi ezisindayo ezifana nomthofu
• Eminye imithi noma eminye imithi ethathwe ngaphandle kweseluleko sezokwelapha

Ubani onamathuba amaningi okuthuthukisa lokhu? (Izici Eziyingozi)

Ungase ube sengozini enkulu yokuthola `(Metabolic Encephalopathy)` uma:

• Uma unesifo esithinta isimiso somzimba esithinta izinqubo eziningana zomzimba ngesikhathi esisodwa. (Isibonelo, isifo esithinta umzimba wonke, njengesifo sikashukela)
• Uma unezinkinga eziningi zezempilo (ama-Comorbidities) ngesikhathi esisodwa. (Isibonelo, ukuba nesifo sikashukela kanye nomfutho wegazi ophezulu)
• Uma uneminyaka engaphezu kwengu-65 ubudala.
• Uma usuvele unezinkinga ngekhono lakho lokucabanga (ukukhubazeka kwengqondo), njengokulahlekelwa yinkumbulo, ubunzima bokufunda izinto ezintsha, ubunzima bokwenza izinqumo, kanye nokungakwazi ukuhlanganisa imicabango yakho.
• Uma unenkinga yokusebenzisa izidakamizwa.

Yiziphi izimo ezingathi sína ezingaba khona uma zingelashwa?

Uma kungelashwa ngokushesha nangendlela efanele, i-Metabolic Encephalopathy ingaba yingozi empilweni . Ingabangela nemiphumela emibi kakhulu, yesikhathi eside efana nalokhu:

• Ukulimala kobuchopho okungapheli.
• Ukulahlekelwa ngokuphelele kwengqondo (i-Coma) kanye nezinkinga zayo.

Yingakho kubaluleke kakhulu ukufuna iseluleko sezokwelapha ngokushesha nje lapho kuvela izimpawu, ngaphandle kokulibala. Ukutholwa kusenesikhathi kungavimbela imiphumela emibi kakhulu.

Udokotela ukuxilonga kanjani lokhu? (Ukuxilongwa)

Udokotela uzohlonza i-metabolic encephalopathy ngokwenza ukuhlolwa ngokomzimba , ukuhlolwa kwezinzwa , kanye nezinye izivivinyo ezikhethekile . Lezi zivivinyo zizosiza udokotela wakho ukuthi akhiphe ezinye izimo ezibangela izimpawu ezifanayo (okungukuthi, akhiphe ezinye izimo) futhi anqume ukuthi yiziphi izitho nezinhlelo emzimbeni wakho ezithintekile.

Lezi zivivinyo zingafaka:

• Ukuhlolwa kwegazi: Lokhu kungahlola izinto eziningi, njengamazinga kashukela egazini, amazinga e-electrolyte, kanye nokusebenza kwesibindi nezinso.
• Ukuhlolwa komchamo:Lokhu kuhlola nanoma yikuphi ukukhubazeka emzimbeni.
• I-Electroencephalography (EEG): Lokhu kusetshenziselwa ukuqopha umsebenzi kagesi wobuchopho. Kungabona noma yimuphi umsebenzi ongajwayelekile ebuchosheni.
• Ukubhoboza i-Lumbar: Lokhu kuhilela ukuthatha inani elincane loketshezi lwe-cerebrospinal emgudwini womgogodla bese ulihlola. Lokhu kungasiza ekuhloleni izinto ezifana nokutheleleka kobuchopho.
• I-CT scan noma i-MRI: Lezi zinhlobo zokuskena zingabheka isakhiwo sobuchopho noma ukubona ukuthi kukhona yini umonakalo ebuchosheni.

Ilashwa kanjani? Yiziphi izindlela zokwelapha?

Ukwelashwa kwe-metabolic encephalopathy kugxile ekulawuleni isimo esiyisisekelo noma ukungasebenzi kahle kwezitho zomzimba okubangela izimpawu zakho kanye nokulawula imiphumela emibi kanye nezimpawu ezihambisana ne-encephalopathy. Lokhu kwelashwa kungahluka kumuntu nomuntu, kodwa kungafaka:

• Ukuhlinzeka ngamavithamini noma izakhamzimba ezengeziwe ezidingwa ngumzimba. (Isibonelo: amavithamini anjenge-thiamine)
• Ukunikeza imithi ethile. (Sizoxoxa ngalokhu kamuva.)
• Ukushintsha lokho okudlayo nokuphuzayo: Isibonelo, ukunciphisa uketshezi uma unesifo sezinso, noma ukudla ukudla okunamaphrotheni aphansi uma unesifo sesibindi.
• Izindlela zokwelapha zokuvuselela umzimba ezifana nokwelashwa ngokomsebenzi (ukukusiza ukuthi ubuyele emisebenzini yansuku zonke), ukwelashwa kokuziphatha kwengqondo (kwezinkinga zokucabanga nokuziphatha), kanye/noma ukwelashwa ngenkulumo (kwezinkinga zokukhuluma).
• I-Plasmapheresis: Lena inqubo ekhethekile ehlunga izinto eziyingozi (isib. ubuthi, ama-antibodies) egazini.
• I-Dialysis: Lokhu kwelashwa kusetshenziselwa ukususa imfucuza emzimbeni weziguli ezinenkinga yezinso.
• Ukufakelwa isitho: Kwezinye izimo ezinzima, isibonelo uma isibindi noma izinso zihlulekile ngokuphelele, kungadingeka ukufakelwa isitho.

Ngenxa yokuthi ungase uzizwe ukhathazekile futhi udidekile ngalesi sikhathi, ithimba lakho lezokwelapha lizokwelapha esibhedlela, endaweni ethule, engenakucindezeleka, nephephile . Uma kuphephile kuwe, bazohlela izikhathi zokuvuka embhedeni bese uhambahamba kancane ngaphansi kokuqashwa kwabo ukuze bagweme izinkinga (isib. amahlule egazi, izilonda zokulala) ezingase zivele ngenxa yokuphumula isikhathi eside embhedeni.

Yimiphi imithi esetshenziswayo?

Uhlobo lomuthi udokotela wakho akunike wona luzoncika esibangweni sezimpawu zakho. Eminye yemithi esetshenziswa ukwelapha nokulawula izimpawu ze-Metabolic Encephalopathy ifaka:

• Ama-Benzodiazepine (ezimweni ezifana nokukhathazeka, isithuthwane) kanye/noma abaphikisi be-opiate (isib. i-Naloxone - yokudakwa kwezidakamizwa)
• Ama-Glucocorticoids (uhlobo lwe-steroid - lwezimo ezinjengokuvuvukala kobuchopho)
• I-Thiamine (i-Vitamin B1 - ikakhulukazi ye-encephalopathy ehlobene notshwala)
• I-Lactulose (ukususa ubuthi obufana ne-ammonia emzimbeni ezimweni ze-encephalopathy ezibangelwa yisifo sesibindi)
• Imithi yokulwa nesifo sokuwa efana neLevetiracetam noma iValproic acid
• Imithi yokulwa nesifo sengqondo imithi enikezwa ukulawula izimpawu zengqondo (isib. `Ukusangana`, `Ukuphupha kabi`).

Ingabe ukwelashwa kungaba nemiphumela emibi?

Vele, njengazo zonke izindlela zokwelapha, kunezinye izindlela zokwelapha ezingase zibe khona . Ziyahlukahluka kumuntu nomuntu. Isibonelo, eminye imithi ingabangela ukozela noma isiyezi. Ithimba lakho lezokunakekelwa kwempilo lizokuqapha eduze ukuze lithole le miphumela emibi ngenkathi uthola ukwelashwa futhi lizolungisa ukwelashwa kwakho uma kudingeka. Uma unemibuzo mayelana nohlelo lwakho lokwelashwa, isikhathi sokululama, noma indlela ozizwa ngayo, ungangabazi ukukhuluma nodokotela wakho.

Izophola ngokushesha kangakanani? Ingabe iyafana kuwo wonke umuntu?

Lona umbuzo abantu abaningi abawubuzayo. Abantu abanezimo ezithile, njenge-"Metabolic Encephalopathy", bangalulama zingakapheli izinsuku ezimbili, futhi ukusebenza kobuchopho babo kungabuyela esimweni esijwayelekile, uma lesi sifo sitholakala kusenesikhathi futhi imbangela iphathwa kahle .

Kodwa-ke, ngezinye izikhathi, ikakhulukazi uma ukwelashwa kubambezeleka, isifo esiyisisekelo sibi kakhulu, noma kukhona ukulimala kobuchopho, abanye abantu bangase bangalulami ngokuphelele. Bangase badinge ukwelashwa nokusekelwa kwesikhathi eside, mhlawumbe impilo yonke. Ngakho-ke kungcono ukuxilonga lesi sifo bese uqala ukwelashwa ngokushesha okukhulu.

Iyini ikusasa lalesi simo?

Ikusasa lakho, okungukuthi, izinga lakho lokululama, lincike kakhulu ezintweni ezimbili:

1. Uthole ukwelashwa ngokushesha kangakanani ngemva kokuqala kwezimpawu zakho.

2. Iyini imbangela eyisisekelo yalesi simo `(Metabolic Encephalopathy)` futhi singalawulwa kangakanani ?

Uma welashwa kusenesikhathi, imiphumela ingaba mihle kakhulu . Iningi labantu libuyela ekusebenzeni kwengqondo okuvamile ngemva kokwelashwa. Kodwa-ke, njengoba sishilo ngaphambili, kwezinye izimo, `(Metabolic Encephalopathy)` ingabangela ukulimala kobuchopho okungapheli, okungaba yingozi ngisho nokufa. Uma lesi simo sibangela ukulimala kobuchopho, ungadinga ukwesekwa kokuphila konke kanye nokwelashwa kokuvuselelwa (isib. ukwelashwa ngokomzimba, ukwelashwa kokukhuluma).

Yini esingayenza ukuvimbela lokhu?

Eqinisweni, akuwona wonke amacala e-Metabolic Encephalopathy angavinjelwa, njengoba ezinye izimo ezingaphansi zingavela ngokuzumayo. Kodwa-ke, kunezinto ongazenza ukuze unciphise ingozi yakho futhi ulondoloze impilo yakho jikelele :

• Yidla ukudla okunempilo nokulinganiselayo (yidla imifino eminingi, izithelo, kanye nokusanhlamvu okuphelele, futhi wehlise ukudla okunoshukela namafutha).
• Phuza amanzi anele usuku lonke (hlala unamanzi).
• Ukuvivinya umzimba njalo (ngisho nokuhamba imizuzu engama-30 ngosuku kuhle).
• Ukugcina ubuchopho bakho busebenza: Gcina ubuchopho bakho busebenza ngokufunda izincwadi, ukuqeda amaphazili, ukufunda okuthile okusha, nokuzibandakanya emisebenzini yemfundo.
• Uma unezifo ezingamahlalakhona njengesifo sikashukela noma umfutho wegazi ophakeme, landela imiyalelo kadokotela wakho ukuze uzilawule kahle.

Kufanele simbone nini udokotela?

Lokhu kubaluleke kakhulu. Uma wena noma umuntu oseduze nawe enezimpawu ze-`(Metabolic Encephalopathy)` (njengokudideka, ukulahlekelwa yinkumbulo, izinguquko zokuziphatha, kanye ne-dementia esixoxe ngayo ekuqaleni), bona udokotela ngokushesha, ngaphandle kokulibala .

Ezinye izimo zingaba yisimo esiphuthumayo sezokwelapha . Ikakhulukazi uma unesifo esiyisisekelo esifana nesifo sikashukela, isifo sesibindi, noma isifo sezinso, udokotela wakho angakutshela ukuthi uye ekamelweni lezimo eziphuthumayo esibhedlela ngokushesha uma uhlangabezana nalezi zimpawu. Ukuthola ukwelashwa kusenesikhathi kungenza umehluko omkhulu.

Yimiphi imibuzo ebalulekile okufanele uyibuze udokotela?

Uma ubona udokotela wakho, kuwumqondo omuhle ukubuza imibuzo efana nale ukuze uthole ukuqonda okucacile ngesimo sakho:

• "Luhlobo luni lwesimo `(Encephalopathy)` olubangele izimpawu mina/isiguli sethu esinazo?"
• "Yisiphi isizathu esiyinhloko esibangela lokhu?"
• "Uluncoma uhlobo luni lohlelo lokwelapha?"
• "Yimiphi imiphumela emibi engaba khona yalezi zindlela zokwelapha?"
• "Isiguli sami/sethu sizodinga ukuhlala esibhedlela isikhathi esingakanani ukuze sithole ukwelashwa?"
• "Kuzothatha isikhathi esingakanani ukululama ngokuphelele? Luhlobo luni lokwelashwa oluzodingeka ukuze kulungiswe noma kulungiswe?"
• "Yiziphi izinto okudingeka siziqaphele kakhulu ngemva kokubuyela ekhaya?"

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

I-Metabolic Encephalopathy iyisifo esesabekayo, akungabazeki ukuthi sikhona. Uma singaxilongwa noma singalashwanga kusenesikhathi, lesi simo singathinta unomphela ukusebenza kobuchopho bakho.

Kodwa, okubaluleke kakhulu, uma ufuna usizo lwezokwelapha ngokushesha nje lapho ubona izimpawu, abantu abaningi bazolulama ngokugcwele. Ngokwelashwa okufanele kwembangela eyinhloko, ukusebenza kobuchopho kungabuyela esimweni esijwayelekile.

Izindlela zokuvuselela ezidingekayo ngemuva kokwelashwa zizokusiza ukuthi ubuyele ngokushesha emisebenzini yakho yansuku zonke futhi uphile impilo evamile. Ngakho-ke, uzoqala ngokushesha ukuzizwa ungcono, ngokwengqondo nangokomzimba.

Uma unemibuzo mayelana nohlelo lwakho lokwelashwa noma isifo ngokwaso, ungesabi noma ungabaze ukubuza udokotela wakho. Bakhona ukuzokusiza.

I- Metabolic Encephalopathy, isifo sobuchopho, i-metabolism, ukusebenza kobuchopho, ukudideka, ukulahlekelwa yinkumbulo, izimpawu, ukwelashwa